Organization
UNITED PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD J DERDERIAN PHARM.D.; R.PH. (OWNER/PHARMACIST)
(559) 591-6400
Entity
Organization
Contact information
Practice address
1625 E EL MONTE WAY, DINUBA, CA 93618-1832
(559) 591-6400
(559) 591-8439
Mailing address
1625 E EL MONTE WAY, DINUBA, CA 93618-1832
(559) 591-6400
(559) 591-8439
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PHY40825
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PHA408250
—
CA
Enumeration date
05/27/2005
Last updated
08/22/2020
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